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Individual

BERJ K MINASAKANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2701 S BRISTOL ST, SANTA ANA, CA 92704-0240
(714) 754-5454
Mailing address
PO BOX 20020, FOUNTAIN VALLEY, CA 92728-0020
(562) 809-3564

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A29869
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A298690
CA
Enumeration date
07/10/2006
Last updated
10/13/2008
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